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S�p/19/2017 TxU 15: 29 FAx 763 a73 8565 Sabre Heeting 6.Air Cond �00�/007 <br /> If'abo�ve does nocapply;follow�uidelines below; <br /> 1 CON�tACT PRIC� "i� 1.25%of caiiU'act price wit1�a(M'iui�num i+ee of S50.�0) <br /> ��:1�.. . .. x,Ul25S ��S�rJS _ . <br /> (wnlriu:l piiu:) (minimunt$50 OU) <br /> z. srAr�sr�ac�c� <br /> � I`1�l k�• 35 x.000s $_.. , $��#�....� <br /> (�o»trac�p�i,ce) <br /> � 3. ,PUSTAG�&HANDLING(O�ily on Mail-In Applications) �2.00 , <br /> 4. TOTAI,PF,RM�T���(A,dd�-ines l-3 Above) S �����-. <br /> • * CON'�AC'�PRICE or JOB COST means the actval or estimated dollar amaunc char�ed for the <br /> permitted work including materials,labor,profit,and other fixed cosls. It is the amount to be ck�arged <br /> to the customer for the work done. Tf any mataial,eyuipment,labor or installa�ions are funiished by <br /> the owner, temant or any o�th�party,the reasooable markcc value oF such items must be added to the <br /> estimated cost a coatract price for permit fee pwpases. xn the en+er�that ihere is a dispute on the <br /> smourn of thcs job cost, the City may request tho submission of a si�gned capy o£tltie actual contract, <br /> 'The undersigned l�ereby applies to the City for issu�nce o£a Plumbing Peimit, agrees to dp alX <br /> work is� sh�ct accordFsnce witi� the ordin�ances o�'tho City and the regulations of, the State of <br /> Miu�osota, and cert�es thai a11 stat�mernts mads oz� this applieation are comptete, true and <br /> cotrect. <br /> Appl.icant's Signatiu•e: d�(aMa�n,v lJ ,__ Aatc:__ �0-I 9•Zp I'y <br /> � <br /> . � <br /> �i 3 <br />